Individual
JILL PATRICE ZEKANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
218 W 13TH ST, VANCOUVER, WA 98660-2906
(360) 433-7322
Mailing address
218 W 13TH ST, VANCOUVER, WA 98660-2906
(360) 433-7322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012677
WA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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